Preconception Risk Reduction

October 3, 2013
1:00 pm US Eastern Time

Slides & Resources

Speaker presentation slides:

Merry-K. Moos: Preconception Health Promotion: From Concept to Implications

Traci Townsend: Preconception Pesticide Exposure Risk Assessment in the Clinical Setting--or, It Takes a Village...

Victoria Maizes: Preconception Counseling: A Critical Window for Health Promotion

Additional resources of interest:

CDC Action Plan for the National Initiative on Preconception Health and Health Care 2012-2014

RCOG press release on Scientific Impact Paper 37: Chemical Exposures During Pregnancy

ACOG press release on Committee Opinion #575: Exposure to Toxic Environmental Agents

Breast Cancer Fund: Disrupted Development: the Dangers of Prenatal BPA Exposure

Merry-K Moos

CDC Preconception Health and Health Care Initiative

2012 Preconception Health and Health Care Environmental Scan: Report on Clinical Screening Tools and Interventions

American Journal of Obstetrics and Gynecology, Volume 199, Issue 6, Supplement 2, December 2008. The clinical content of preconception care: environmental exposures.

Margaret Comerford Freda, Merry-K. Moos, Michele Curtis. Matern Child Health J. 2006. The History of Preconception Care: Evolving Guidelines and Standards. September; 10(Suppl 1): 43–52. Published online 2006 May 19. doi: 10.1007/s10995-006-0087-x.

Traci Townsend

Liza Oates, Marc Cohen. 2011. Assessing Diet as a Modifiable Risk Factor for Pesticide Exposure. Int J Environ Res Public Health. June; 8(6): 1792–1804. Published online 2011 May 25. doi: 10.3390/ijerph8061792.

Weerawadee Chandranipapongse, Gideon Koren. 2013. Preconception counseling for preventable risks. Can Fam Physician.July; 59(7): 737-739.

Center for Environmental Research and Children’s Health: The CHAMACOS study

Migrant Clinicians Network

Victoria Maizes

Rudel RA, Gray JM, Engel CL, Rawsthorne TW, Dodson RE, Ackerman JM, et al. 2011. Food packaging and bisphenol A and bis(2-ethylhexyl) phthalate exposure: findings from a dietary intervention. Environ Health Perspect 119:914–920.; doi:10.1289/ehp.1003170 [Online 30 March 2011].

Ji K, Lim Kho Y, Park Y, Choi K. 2010. Influence of a five-day vegetarian diet on urinary levels of antibiotics and phthalate metabolites: a pilot study with "Temple Stay" participants. Environ Res. May;110(4):375-82. doi: 10.1016/j.envres.2010.02.008. Epub 2010 Mar 12.

Jenny L. Carwile, MPH; Xiaoyun Ye, MS; Xiaoliu Zhou, MS; Antonia M. Calafat, PhD; Karin B. Michels, ScD, PhD. Canned Soup Consumption and Urinary Bisphenol A: A Randomized Crossover Trial. Research Letters. JAMA. 2011;306(20):2218-2220. doi:10.1001/jama.2011.1721.

Sathyanarayana S, Alcedo G, Saelens BE, Zhou C, Dills RL, Yu J, Lanphear B. 2013. Unexpected results in a randomized dietary trial to reduce phthalate and bisphenol A exposures. J Expo Sci Environ Epidemiol. Jul;23(4):378-84. doi: 10.1038/jes.2013.9. Epub 2013 Feb 27.

Be Fruitful: The Essential Guide to Maximizing Fertility and Giving Birth to a Healthy Child(Scribner 2013).

Listen to Recording

The US Centers for Disease Control and Prevention’s National Health and Nutrition Examination Survey (CDC NHANES) provides data showing women of reproductive age carry a body burden of hundreds of industrial chemicals and toxicants. Recent evidence links many of these contaminants with infertility, early pregnancy loss and negative impacts on embryonic and fetal development. Clinicians caring for women of reproductive age are seeking guidance on effective counseling for clients to reduce exposure to toxic substances and optimize health before becoming pregnant. This call, hosted by the CHE Fertility and Reproductive Health Working Group, examined available data in support of recommendations to minimize toxic exposures, highlight data gaps, and explore future directions in preconception risk reduction.

Merry-K. Moos of UNC, Chapel Hill, presented information from the CDC Preconception Health and Health Care Initiative, its evidence-based review of preconception care emphases for the clinical setting and the soon-to-be-released clinical toolkit. Traci Townsend, formerly of Planned Parenthood Mar Monte, presented data from a project on pesticide risk reduction and reproductive health in agricultural families. Dr. Victoria Maizes of the Arizona Center for Integrative Medicine provided a clinical approach to reducing exposure to environmental hazards based on existing scientific evidence.

Featured Speakers

Merry-K. Moos, RN, FNP, MPH, is a researcher, author and clinician who is nationally and internationally recognized for her expertise in preconceptional and interconceptional health and health care. As a member of the CDCs Select Panel on Preconception Health and Health Care, Ms. Moos served as co-chair of the Clinical Work Group, co-chair of the Reproductive Life Plan ad hoc subcommittee and lead clinician in the development of Before, Between and Beyond, the web based national preconception curriculum and resources guide for clinicians. She is currently leading national activities to create a clinical toolkit to integrate preconception health promotion into routine primary care.

Traci TownsendTraci Townsend is a consultant specializing in program management with over 25 years of engagement in her field. Her work includes oversight of regional education, clinical and community outreach programs and local, state and national administrative and legislative advocacy. Ms. Townsend is an alumna of the 2010 Women’s Policy Institute, where her environmental/reproductive justice team successfully shepherded the Farmworker Health Act to passage and the governor’s signature. Ms. Townsend studied biology at Penn State University and nursing at Holy Family College in Philadelphia, Pennsylvania.

Victoria MaizesVictoria Maizes, MD, is executive director of the Arizona Center for Integrative Medicine and professor of medicine, family and community medicine, and public health at the University of Arizona. Dr. Maizes is internationally recognized as a leader in integrative medicine. As founding co-chair of the Consortium of Academic Health Centers for Integrative Medicine, Dr. Maizes led a team of educators to create objectives for medical students in integrative medicine. Dr. Maizes lectures worldwide on integrative medical education, women's health, healthy aging, nutrition and cancer.

The call was moderated by Karin Russ, MS, RN, national coordinator of the CHE Fertility and Reproductive Health Working Group.